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These exclusions reflect established class safety considerations

Wang Y, Li G, Goode J, Paz JC, Ouyang K, Screaton R, et al

Symptoms of low blood sugar include shakiness, sweating, rapid heartbeat, confusion, and hunger

GLP-1 agonists are medications approved for the treatment of diabetes and weight loss

Semaglutide works through GLP-1 receptors alone, and Couture Med Spa describes it as "widely recognized for appetite regulation and sustained progress over time," though the practice notes individual results vary and some patients see changes sooner than others

The side effect profile also deserves honest disclosure